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T'ai Chi Chih Membership Form
Please print this form, fill it out, make check payable to T'ai Chi Chih Association and send
it to:
T'ai Chi Chih
Association, Scottsdale Village, 3107 Eubank NE, Suite 19, Albuquerque, NM
87111
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Membership |
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Renew |
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Begin |
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Membership Level |
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Basic |
$40/year |
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Anchor |
$_________donation + $40 membership |
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Circle |
$_________ pledge each month |
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Gift Donation |
for an acquaintance* |
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Name: |
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Date: |
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Address: |
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City, State Zip |
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Phone(s): |
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E-mail: |
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*Gift memberships: please include name, address and phone number of
recipient
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